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HomeMy WebLinkAboutStreet Cut Permits 145 Edwin Road (2) 1900008 TOWN OF SOUTH WINDSOR, CT PERMIT NUMBER STREET CUT PUBLIC UTILITY DATE: 03/15/2019 GIS ID:29700145 ",t FEE: 50.00 MUNIS APPLICATION# 201900420 0 ; XFIRATION DATE: 03/14/2020 n APPLICANI is k LOCATION NAME: EVERSOURCEvk €' ADDRLBS 145 EIWIN ROAD ADDRESS: 112 PROSPECT HILL,RD 8 )45 EDWIN ROAD LLC k l I 1 NOI 'HRIDGE DR EAST WINDSOR,C,?T 060 85 x PHONE r ' WORK DESCRIPTION: EXA�r\ T1�1�C 14'x2'VAC HOLEAVAgI 'EIND CURB IN GRASS APPLICANT AGREES TO FURNISH TH ,T0. OF SOUI WINDS©RTC AMO JIV 1'=�QI FOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANC' XP1 E$INCIJRRED.BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND TIFF ABIDE BY THE RULES AND REGULATIONS FOR PERMITS AS OUTLINED IN THE TOWN C SOi kH V1/1NDSR'3 S 1 REFIT GUT PERMIT MANUAL. ISSLfED BY DATE IN5`PCTED INSPECTED BY 3115/2019 3:41 PM *** PERMIT TO BE KEPT ON JOB SITE AT ALL TIMES*** F.r: I i`` t'1no Al �4 5 a' 15 ^ d t xt ji t ? k 1, >, '; t f y ` r � •' k Q{ i k'! A' V, VE 1 V Q ail < t 4t f 1 5 TOWN OF SOUTH.WINDSOR,2NSPECDON REPORT PERMIT NO.: CONTRACTOR: LOCATION: TYPE OF WORK: DATE INSP NEE pED: DATEINSP: � r INSPECTED"BY: a WOAXIN " PROGRESS: re�'re_- SEPTIC TANK PUMPED,"SMASHED, FIla.ED: WITNESSED ❑YES CI NO AS-BUILT:_.. +.:_... INPUT: ' DATE: 5/m6ltoy/6orms 2014 Town of South wind5or.INPSEaMN RiPaRT 14 f�!—rL11iM I IWIN r'VIN %J I 1-%L-L- A L.,nvr-.vr'% 1 1v1- ■ L-I"— ■ ,Appl. No. TOWN OF SOUTH WINDSOR PUBLIC WORKS DEPARTMENT Permit No. TOWN HALL 1540 SULLIVAN AVENUE SOUTH WINDSOR,CT 06074 FEE $50.00 Name of Firm �`��S©vrC� Phone No. 2C 3-�-LC? Address of Firm 2 - S W1 n ' SUU<— .Zip Code Location of proposed work Describe full nature of permit requested "x 2 I _ h CuL2b 1n a Starting date + I - � Call Before You Dig No 2-01 q (fib 1 I�D _ PLEASE NOTE: THE DEPOSIT FOR THE PERMANENT PAVEMENT PATCH AND CURB REPLACEMENT IS A PRELIMINARY ESTIMATE. THE APPLICANT IS RESPONSIBLE FOR THE FULL FINAL COST OF THE PERMANENT PATCH AND CURB REPLACEMENT,INCLUDING ANY INCREASES IN PATCH AREA,CURB LENGTH,TRAFFIC CONTROL AND THE TOWN'S CONTRACT COSTS. THE PERMANENT PATCH IS TYPICALLY COMPLETED WITHIN A YEAR OF THE TEMPORARY PATCH BUT IT COULD BE LATER THAN A YEAR. Check Applicable: No Pavement, Curb or Sidewalk Cut ❑ Pavement Cut ❑ Curb Cut ❑Sidewalk Cut ❑ Existing Driveway, No Changes ❑ Proposed Driveway Widening ❑ Proposed New Driveway Water Supply: ❑ Public Water []Well Sewage Service: ❑ Public Sewer ❑ Septic Show sketch.of proposed work or furnish Indicate North This section to be filled out by Town two copies of separate drawing SNo.cuts Est.Patch Size(s) sf Est.Pvt.Thickness in. Est.Patch Unit Price$ /sf Est.Patch Cost$ Est.Curb Replacement ft Est.Curb Unit Price$ /ft Est.Curb Cost$ Est.Sidewalk Replacement sf Est.Sidewalk Unit Price Est.Sidewalk Cost$ Est.Traffic Hours hr Est.Traffic Unit Cost$ 1hr Est.Traffic Control$ DRIVEWAYS must be 3ft or more from the property line per Amt.of Deposit$ section 2.17 of the zoning regulations Total Due$ Applicant is responsible for contacting the Police Dept.and C.B.Y.D PERMIT SHALL BE KEPT ON JOBSITE AT ALL TIMES { )Cash ( )Check# Paid By I AGREE TO FURNISH TO THE TOWN OF SOUTH WINDSOR THE AMOUNT OF BOND REQUIRED AND TO REIMBURSE THE TOWN OF SOUTH WINDSOR FOR ANY EXPENSES INCURRED BY THE TOWN FOR MAINTENANCE OR REPAIR WORK IN CONNECTION WITH THIS PERMIT AND THAT I AM FAMILIAR WITH AND WILL ABIDE BY THE RULES AND GULATIONS ERMITS AS 0 TUNED IN THE TOWN OF SOUTH WINDSOR'S STREET CUT PERMIT NUAL. \\ Signed: - Print Name C_O1U, �n Van _ Date: Engineering/permits/Street Excavation Permit 2017 i 145 I f .......... I JASON SODA i i i 1 I UI,Q� � t #K521 evc ur -c ;\ 1:2W , zoo 41.7- The material contained on thismop Title: Eversour E rgy nd be considered proprietary to shall ee ne a user which is ) �l�e �+w defined as any person or entity � 't l E\I� Ono � � who has recewed the map through t r _ `4�,.� a,^ of2-- G V G sale, purchase, exchange, gift, ar \��.FJIU�r ! y� L J �t �r otherwise)shall keep it in conf deuce ENERGY �1 and shall not furnish or disclose it F to any third party without the prior Information show is not guaranteed and£versource Energy assumes no resoansibility. written permission of£versource Energy. Contractors are urged to call Eversource Energy for further mformalion al,-800-9 9—OffaO Date: 2 1—t e — r ' fi 1 � 45 I I JASON SO +i OA VQC, ti 1:250 V-20.8. 41.7' The material contained on this map Title: 45 t---r^f w i n �J rl �+ shall d s any P d groor en�t9LLL---"'`""" `C .5 � ��■ ■� .w Eversource Energy and user which is `G U {G,,, M. defined as an person or enEiE e who has received the ge through c 1 k (t� sale, purchase, exchange,gift, or IVi"r w t�, J `2-- otherwise) shall keep it in confidence ENERGY a and sho11 not furnish or disclose it y:d '.. to any third party without the prior Information shown is not guaranteed and Eversource Energy assumes no responsibilittyy written permission of Eversource Energy. Contractors are urged to call Eversource Energy for further information at,-8a0-989-0900 Date: 21— e —